ATI RN
ATI Advanced Med Surg Cohort 4 Exam Questions
Extract:
Question 1 of 5
When assessing the client with meningitis, the nurse looks for which manifestation as a frequent first sign of increased intracranial pressure?
Correct Answer: B
Rationale: Changes in mood or attention level, such as irritability or confusion, are early signs of increased intracranial pressure due to altered cerebral perfusion.
Question 2 of 5
Which prescribed intervention should the emergency department nurse implement first for a patient who is experiencing continuous tonic-clonic seizures?
Correct Answer: B
Rationale: Administering lorazepam IV is the first-line treatment to terminate continuous seizures, prioritizing seizure cessation to prevent complications.
Question 3 of 5
A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following medication would the nurse anticipate to administer?
Correct Answer: B
Rationale: IV lorazepam is the first-line treatment for acute seizure termination, acting quickly to suppress seizure activity.
Question 4 of 5
A patient admitted with possible stroke has been aphasic for 3 hours and has a current blood pressure (BP) of 174/94 mm Hg. Which order by the health care provider should the nurse question?
Correct Answer: C
Rationale: tPA is contraindicated after 3 hours of stroke symptom onset, increasing bleeding risk without benefit.
Question 5 of 5
A nurse is caring for a client who reports a throbbing headache and hypotension after a lumbar puncture. Which of the following actions is most likely to facilitate resolution of the headache?
Correct Answer: C
Rationale: A blood patch seals the puncture site to restore cerebrospinal fluid pressure, directly addressing the cause of post-lumbar puncture headache.